D.C. Mun. Regs. tit. 29, r. 29-7409

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 29-7409 - HSS PROVIDER REQUIREMENTS - GENERAL

7409.1

Each HSS provider shall:

(a) Comply with all related federal and local confidentiality laws;

(b) Comply with all provisions of the Homeless Services Reform Act of 2005 (HSRA or Act), as amended, D.C. Law 16-35; D.C. Official Code §§ 4756.02 and corresponding regulations;

(c) Have and maintain a PSH Human Care Agreement (HCA) with the Department and comply with the requirements stated in their PSH HCA;

(d) Enroll and maintain enrollment in the District's Medicaid program as an HSS provider:

(e) Enroll eligible individuals into the Medicaid benefit and maintain monthly enrollment of all individuals;

(f) Submit all requested program and financial information to the Department for evaluation and auditing purposes; and

(g) Provide clinical management for its enrolled individuals.

7409.2

Each HSS provider shall satisfy the minimum staffing requirements set forth in this section and §§ 7411.

7409.3

Each HSS provider shall comply with the certification standards described in this Chapter.

7409.4

Each HSS provider shall provide to the District information that the District determines is reasonably necessary to:

(a) Monitor and evaluate the HSS provider's compliance with the terms of its HCA with the Department and Medicaid Provider Agreement, including: conducting claims audits, Medicaid compliance reviews, quality reviews, and any other program integrity function to ensure the quality, effectiveness and efficiency of services and ensuring the accuracy of claims submitted for reimbursement under this agreement; and

(b) Verify the costs of services required in the HCA, including all administrative, direct, and indirect costs.

7409.5

Each HSS provider shall have an annual audit by an independent certified public accountant or a certified public accounting firm in accordance with generally accepted auditing standards. The resulting financial audit report shall be consistent with formats recommended by the American Institute of Public Accountants. The HSS provider shall submit a copy of their financial audit report to the Department within one hundred and twenty (120) calendar days after the end of the provider's fiscal year.

7409.6

Each HSS provider shall document all notes describing individual engagement activities in the Department's web-based case note platform. All case notes shall be documented using the Data Assessment and Plan (DAP) format unless otherwise indicated by the Department.

7409.7

Each HSS provider shall document each activity provided in each individual's record in the Department's web-based case note platform to include, at minimum:

(a) A description of the specific activity rendered and whether it should be categorized as supporting the consumer's Housing Navigation or Housing Stabilization;

(b) The date and time the service(s) were rendered;

(c) The HSS provider staff member who provided the services;

(d) The setting in which the service(s) were rendered; and

(e) The individual's person-centered plan of care provisions related to the service(s) provided.

7409.8

Each HSS provider shall have the capacity to receive and review information from the District's Health Information Exchange (DC HIE) that states, at minimum, the dates and times individuals on the HSS provider's caseload are admitted to a hospital, discharged from a hospital or transferred between departments within a hospital. Information that the HSS provider receives from the DC HIE will be emailed to the provider in a CSV (comma-separated values) format, such as Microsoft Excel, or uploaded to the provider's electronic health record system (as applicable).

7409.9

Each HSS provider shall report any suspicion of abuse, neglect, self-neglect, and/or exploitation of individuals to the Adult Protective Services Hotline. The HSS provider shall also notify the Department in writing no later than the next business day following the suspicion.

D.C. Mun. Regs. tit. 29, r. 29-7409

Final Rulemaking published at 71 DCR 6868 (6/7/2024)